- Medicare in Ogden, UT

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is a medicare enrolled "Family Medicine" provider in Ogden, Utah. Their current practice location is 1900 Washington Blvd, Ste 104, Ogden, Utah. You can reach out to their office (for appointments etc.) via phone at (801) 612-1085.

is licensed to practice in Utah (license number 4891288-1204) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1578937801.

Contact Information

1900 Washington Blvd, Ste 104,
Ogden, UT 84401-6849
(801) 612-1085
(801) 337-1104

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityFamily Medicine
Location1900 Washington Blvd, Ogden, Utah
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1578937801
  • Provider Enumeration Date: 11/24/2015
  • Last Update Date: 09/22/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 7517260896
  • Enrollment ID: O20160120001088

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578937801NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor 7387084-1202 (Utah)Secondary
111N00000XChiropractor 7387085-1202 (Utah)Secondary
207Q00000XFamily Medicine 4891288-1204 (Utah)Primary
363A00000XPhysician Assistant 9579184-1206 (Utah)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameJennifer L Kocour
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1841472610
PECOS PAC ID: 7113067463
Enrollment ID: I20091222000371
Provider NameJoshua R Phelps
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1255513107
PECOS PAC ID: 0840330197
Enrollment ID: I20091222000391
Provider NameJoshua R Phelps
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255513107
PECOS PAC ID: 0840330197
Enrollment ID: I20220706003463

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

1900 Washington Blvd, Ste 104,
Ogden, UT 84401-6849

Ph: (801) 612-1085
1900 Washington Blvd, Ste 104,
Ogden, UT 84401-6849

Ph: (801) 612-1085

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.